In order for a Trust to be submitted to Medicaid the following is also necessary:
- LDSS 486T (Medical Report for Determination of Disability) to be completed and signed by doctor.
- Recent Progress Notes from doctor’s office (notes the doctor took during the recent visits).
- LDSS 1151 (Disability Questionnaire) to be filled out by the applicant or someone familiar with them.
- A completed HIPAA Form (OCA 960) initialed in section 9(b) and signed by the person joining the Trust.
- A Sample HIPAA is also included for reference.